Metric properties of the “timed get up and go- modified version” test, in risk assessment of falls in active women
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Objective:
To analyse the metric properties of the Timed Get up and Go - Modified Version Test (TGUGM), in risk assessment of falls in a group of physically active women.
Methods:
A sample was constituted by 202 women over 55 years of age, were assessed through a crosssectional study. The TGUGM was applied to assess their fall risk. The test was analysed by comparison of the qualitative and quantitative information and by factor analysis. The development of a logistic regression model explained the risk of falls according to the test components.
Results:
The TGUGM was useful for assessing the risk of falls in the studied group. The test revealed two factors: the Get Up and the Gait with dual task. Less than twelve points in the evaluation or runtimes higher than 35 seconds was associated with high risk of falling. More than 35 seconds in the test indicated a risk fall probability greater than 0.50. Also, scores less than 12 points were associated with a delay of 7 seconds more in the execution of the test (p= 0.0016).
Conclusions:
Factor analysis of TGUGM revealed two dimensions that can be independent predictors of risk of falling: The Get up that explains between 64% and 87% of the risk of falling, and the Gait with dual task, that explains between 77% and 95% of risk of falling.
Yamada M, Tanaka B, Nagai K, Aoyama T, Ichihashi N. Trail-Walking exercise and fall risk factors in Community-Dwelling older adults Preliminary results of a randomized controlled trial. J Am Geriatr Soc. 2010;58(10):1946–1951
Ambrose A, Paul G, Hausdorff J. Risk factors for falls among older adults A review of the literature. Maturitas. 2013;75(1):51–61
Blanch M. Efectividad de una intervención multifactorial para la prevención de las caídas en ancianos de una comunidad. Atención Primaria. 2001;28(06):431
Kane R, Ouslander J, Abrass I. Geriatria clínica. Fourth edition. 2001. McGraw Hill: México;
Ansai J, Glisoi S, Oliveira T, Soares A, Cabral K, Sera C. Revisão de dois instrumentos clínicos de avaliação para predizer risco de quedas em idosos. Rev Bras Geriatr Gerontol. 2014;17(1):177–189
Rodríguez GC, Lugo L. Validez y confiabilidad de la escala de tinetti para población colombiana . Rev Colomb. Reumatol. 2012;19(4):218–233
Roqueta C, de Jaime E, Miralles R, Cervera AM. Experiencia en la evaluación del riesgo de caídas. Comparación entre el test de Tinetti y el Timed Up & Go.. Rev Españ Geriatr Gerontol. 2007;42(6):319–327
Yelnik A, Bonan I. Clinical tools for assessing balance disorders. Neurophysiol Clin. 2008;38(6):439–445
Downs S, Marquez J, Chiarelli P. Normative scores on the berg balance scale decline after age 70 years in healthy community-dwelling people A systematic review. J Physiother. 2014;60(2):85–89
Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation a systematic review. Physical Therapy. 2008;88(5):559–566
Pimentel M, Scheicher M. Comparação do risco de queda em idosos sedentários e ativos por meio da escala de equilíbrio de Berg. Fisiot Pesquisa. 2009;16(1):6–10
Lajoie Y, Gallagher S. Predicting falls within the elderly community comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr. 2004;38(1):11–26
Mathias S, Nayak S, Isaacs B. Balance in elderly patients The "get-up and go" test. Arch Phys Med Rehabil. 1986;67(6):387–389
Podsiadlo D, Richardson S. The timed "up & go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–148
Giné-Garriga M, Guerra M, Manini TM, Marí-Dell'Olmo M, Pagès E, Unnithan VB. Measuring balance, lower extremity strength and gait in the elderly Construct validation of an instrument. Arch Gerontol Geriatr. 2010;51(2):199–204
Giné-Garriga M, Guerra M, Unnithan VB. The effect of functional circuit training on self-reported fear of falling and health status in a group of physically frail older individuals a randomized controlled trial. Aging Clin Experim Res. 2013;25(3):329–336
Giné-Garriga M, Guerra M, Marí-Dell'Olmo M, Martin C, Unnithan VB. Sensitivity of a modified version of the 'timed get up and go' test to predict fall risk in the elderly A pilot study. Arch Gerontol Geriatr. 2009;49(1):e60–e66
Viccaro LJ, Perera S, Studenski SA. Is timed up and go better than gait speed in predicting health, function, and falls in older adults. J Am Geriatr Soc. 2011;59(5):887–892
Muhaidat J, Kerr A, Evans J, Pilling M, Skelton D. Validity of simple gait-related dual-task tests in predicting falls in community-dwelling older adults. Arch Phys Med Rehabil. 2014;95(1):58–64
Schoene D, Wu S, Mikolaizak A, Menant J, Smith S, Delbaere K, et al. Discriminative ability and predictive validity of the timed up and Go Test in identifying older people who fall Systematic review and meta-analysis. J Am Geriatr Soc. 2013;61(2):202–208
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Accepted 2017-03-17
Published 2017-03-31
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